| NPI | 1720248560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY21984) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY60272993) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2016-12-20 |